How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $3,981.07 | Facility | None | $109.65 | $109.65 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $83.18 Typical High $85.11 | Professional | None (both parts) | $50.12 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $28.84 | $35.48 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $47.86 Typical High $51.29 | Professional | TC · Technical part | $19.50 | $47.86 | $51.29 |
BCBS Idaho Setting Facility Modifier None Typical Low $37.15 Median $97.72 Typical High $162.18 | Facility | None | $37.15 | $97.72 | $162.18 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $125.89 | Professional | None (both parts) | $89.13 | $89.13 | $125.89 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $54.95 | Professional | 26 · Professional part | $37.15 | $37.15 | $54.95 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $72.44 | Professional | TC · Technical part | $52.48 | $52.48 | $72.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $93.33 | Professional | None (both parts) | $54.95 | $54.95 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $42.66 | Professional | 26 · Professional part | $25.12 | $25.12 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $51.29 | Professional | TC · Technical part | $29.51 | $29.51 | $51.29 |
Moda Health Setting Facility Modifier None Typical Low $38.02 Median $83.18 Typical High $128.82 | Facility | None | $38.02 | $83.18 | $128.82 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $85.11 Typical High $104.71 | Professional | None (both parts) | $66.07 | $85.11 | $104.71 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $35.48 Typical High $43.65 | Professional | 26 · Professional part | $28.18 | $35.48 | $43.65 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $47.86 Typical High $60.26 | Professional | TC · Technical part | $38.90 | $47.86 | $60.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $95.50 Median $104.71 Typical High $104.71 | Facility | None | $95.50 | $104.71 | $104.71 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $13.80 Median $102.33 Typical High $104.71 | Professional | None (both parts) | $13.80 | $102.33 | $104.71 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | TC · Technical part | $39.81 | $39.81 | $39.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $70.79 Median $97.72 Typical High $123.03 | Facility | None | $70.79 | $97.72 | $123.03 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $102.33 | Professional | None (both parts) | $89.13 | $89.13 | $102.33 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $43.65 | Professional | 26 · Professional part | $37.15 | $37.15 | $43.65 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $57.54 | Professional | TC · Technical part | $52.48 | $52.48 | $57.54 |
Select Health Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $162.18 | Facility | None | $56.23 | $56.23 | $162.18 |
Select Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $81.28 Typical High $125.89 | Professional | None (both parts) | $56.23 | $81.28 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $63.10 Typical High $97.72 | Professional | None (both parts) | $45.71 | $63.10 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $37.15 Typical High $45.71 | Professional | 26 · Professional part | $26.30 | $37.15 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $26.92 Typical High $45.71 | Professional | TC · Technical part | $17.78 | $26.92 | $45.71 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $64.57 Median $87.10 Typical High $91.20 | Professional | 78 · Unplanned return to OR | $64.57 | $87.10 | $91.20 |
Where Idaho sits
The same service costs 3.5 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Idaho· 10th of 51
$89.13
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.